Kentucky / Baptist Health Corbin
CMS certification 180080 · Corbin, KY · 3 entries in CMS's price-transparency list
Baptist Health Corbin: charges and Medicare payments
Baptist Health Corbin reported 840 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 5.53 times what it was paid — among the higher ratios in Kentucky, number 16 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 187 stays at an average charge of $60,913, 33% below the national average. It also billed 655 outpatient services, charging 12.86 times what Medicare paid.
- 1Medicare inpatient stays 840
- 2Charge ÷ paid, inpatient 5.53×
- 3Rank in KY (highest ratio = 1) 16 of 51
- 4CMS price-transparency actions 3
Inpatient stays
For the 28 DRGs that can be compared with the national average, Baptist Health Corbin charged more than the national average in 8 (29%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 187 | $60,913 | -33% | $13,282 |
| 885 Psychoses | 73 | $26,382 | -40% | $9,554 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $62,350 | -12% | $11,382 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $59,193 | -22% | $10,862 |
| 291 Heart Failure and Shock with MCC | 46 | $46,681 | -17% | $8,884 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $49,841 | -17% | $9,091 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $40,737 | -17% | $7,909 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $48,181 | -16% | $8,626 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $45,805 | -9% | $7,880 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 25 | $48,533 | -4% | $6,996 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $52,419 | +2% | $8,114 |
| 683 Renal Failure with CC | 21 | $38,268 | -6% | $6,189 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $36,528 | -3% | $5,716 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $38,255 | +3% | $5,575 |
| 682 Renal Failure with MCC | 19 | $46,113 | -30% | $9,686 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $30,537 | -15% | $5,561 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $49,102 | -19% | $9,298 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $235,731 | +3% | $38,594 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 16 | $19,991 | -46% | $6,136 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $47,995 | -15% | $8,504 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $182,716 | +59% | $12,855 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $72,765 | -1% | $10,623 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $49,342 | -11% | $7,293 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $202,310 | +24% | $23,886 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $33,935 | -30% | $6,989 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $51,084 | +18% | $5,123 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $69,031 | +8% | $7,577 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $110,300 | +9% | $14,205 |
Outpatient services
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Health Corbin charged $60,913 on average, 4% less than the Kentucky average of $63,454, and was paid $13,282 against a state average of $14,765. For Psychoses (DRG 885), Baptist Health Corbin charged $26,382 on average, 5% more than the Kentucky average of $25,233, and was paid $9,554 against a state average of $10,812. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Health Corbin charged $62,350 on average, 16% more than the Kentucky average of $53,742, and was paid $11,382 against a state average of $12,118. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Baptist Health Corbin charged $59,193 on average, 9% more than the Kentucky average of $54,103, and was paid $10,862 against a state average of $11,783. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,621 was 46% above the state average of $20,333. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,646 was 31% above the state average of $11,961. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $20,290 was 1% below the state average of $20,570. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $38,357 was 12% above the state average of $34,303.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Health Corbin in Corbin, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-24 (CMS case 1532)
- Warning Notice — 2024-02-29 (CMS case 2219)
- Closure Notice — 2024-04-01 (CMS case 2219)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.